Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.81 / $7.81 / $8.91	Facility		$7.81	$7.81	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $7.77 / $10.29	Professional		$3.59	$7.77	$10.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $13.46	Facility		$7.35	$7.35	$13.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $13.46 / $17.80	Professional		$7.79	$13.46	$17.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $12.24 / $15.33	Professional		$10.87	$12.24	$15.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $14.23 / $80.00	Facility		$8.36	$14.23	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.17 / $16.73	Professional		$4.76	$6.17	$16.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.46 / $16.13	Facility		$13.43	$13.46	$16.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.51 / $25.73	Professional		$10.54	$15.51	$25.73
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $4.76 / $7.79	Facility		$0.08	$4.76	$7.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.11 / $14.33	Professional		$4.76	$6.11	$14.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $11.02 / $11.02	Facility		$11.02	$11.02	$11.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.02 / $11.02	Professional		$8.71	$11.02	$11.02